NPI 1114461829

Jill Summers

Practitioner Assistant Behavior Analyst Salem, OR

Practice location

Address: 2421 Lancaster Dr NE, Salem, OR 97305-1220
Phone: (503) 763-5780

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1114461829
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2016
Record last updated: 14 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.